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Intracardiac mapping and ablation in non-Fontan patients

Atrial re-entry tachycardia (atrial flutter) is a common problem in children and young adults after surgical treatment of congenital heart disease. Since they are common defects, atrial septal defect, tetralogy of Fallot, and d-transposition of the great arteries are frequently the underlying lesion...

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Bibliographic Details
Published in:Progress in pediatric cardiology 2002, Vol.14 (3), p.211-216
Main Authors: Gillette, Paul C., Blair, Henry L.
Format: Article
Language:English
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Summary:Atrial re-entry tachycardia (atrial flutter) is a common problem in children and young adults after surgical treatment of congenital heart disease. Since they are common defects, atrial septal defect, tetralogy of Fallot, and d-transposition of the great arteries are frequently the underlying lesion. In these patients whose atria are less deranged than those after Fontan operation, mapping studies have found that the ‘flutter isthmus’ is most often the critical area for ablation. Three dimensional non-contact mapping can localize the re-entry circuits in postoperative atrial flutter and pinpoint the vulnerable areas for ablation.
ISSN:1058-9813
1558-1519
DOI:10.1016/S1058-9813(01)00140-0